How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Facility | None | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $190.55 | Professional | None | $97.72 | $190.55 | $190.55 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Facility | None | $138.04 | $138.04 | $190.55 |
BCBS Arkansas Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $204.17 | Professional | None | $123.03 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $257.04 | Facility | None | $97.72 | $181.97 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $181.97 | Professional | None | $58.88 | $77.62 | $181.97 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Facility | None | $109.65 | $109.65 | $123.03 |
United Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $165.96 | Professional | None | $51.29 | $75.86 | $165.96 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $48.98 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $19.50 | $38.02 | $38.02 |
Where Arkansas sits
The same service costs 4.4 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arkansas· 16th of 51
$138
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.